Timothy A Theobald, DO

NPI #1104895648 in Sanford, Maine

Provider Information

NPI Number: 1104895648
Entity Type: Individual
Name: Timothy A Theobald, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Mar 16, 2006
Last Updated: Apr 1, 2019

Practice Location

Address: 25A JUNE ST STE 111
City: Sanford
State: Maine
ZIP Code: 04073-2642
Phone: (207) 490-7998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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